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News You Need to Know Today
Policy: PBM antitrust update | FDA merges all adverse event reporting | CMS interoperability standard | HHS ditches Claude
Saturday, March 14, 2026
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Editor's Choice: Policy & Regulation

FTC seeks more time to settle insulin pricing lawsuit with remaining PBM defendants

The request to the court comes a month after the agency settled with Express Scripts, under the condition the company change its wholesale buying practices, pass on manufacturer rebates and support TrumpRx.gov. Now it's up to CVS Caremark and UnitedHealth’s Optum Rx to make deals of their own. 

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Sugar Insulin
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FTC seeks more time to settle insulin pricing lawsuit with remaining PBM defendants

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Sugar Insulin
The request to the court comes a month after the agency settled with Express Scripts, under the condition the company change its wholesale buying practices, pass on manufacturer rebates and support TrumpRx.gov. Now it's up to CVS Caremark and UnitedHealth’s Optum Rx to make deals of their own. 
READ MORE >

Court rules Leapfrog hospital safety grades ‘deceptive,’ orders removal of Tenet ratings

The nonprofit said it intends to appeal the U.S. District Court’s decision, though it will comply with the ruling for now. Five Tenet hospitals filed the lawsuit in April 2025, accusing Leapfrog of issuing ratings via a pay-to-play model.

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d-minus-school-letter-grade-600x400.jpg
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Court rules Leapfrog hospital safety grades ‘deceptive,’ orders removal of Tenet ratings

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d-minus-school-letter-grade-600x400.jpg
The nonprofit said it intends to appeal the U.S. District Court’s decision, though it will comply with the ruling for now. Five Tenet hospitals filed the lawsuit in April 2025, accusing Leapfrog of issuing ratings via a pay-to-play model.
READ MORE >

MGMA outlines healthcare policy progress in Congress for 2026

The Medical Group Management Association explains some positive federal healthcare policy movement since the start of 2026, including extending telehealth and rural health payments, and possible solutions to the prior authorization burden in Medicare Advantage.   

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Anders Gilberg, senior vice president, government affairs at Medical Group Management Association (MGMA), explains numerous changes in federal healthcare policy since the start of 2026, including extending telehealth, rural health payments, possible solutions to prior authorization burden in Medicare Advantage.
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MGMA outlines healthcare policy progress in Congress for 2026

Share on Twitter Share on Facebook Share on Linkedin
Anders Gilberg, senior vice president, government affairs at Medical Group Management Association (MGMA), explains numerous changes in federal healthcare policy since the start of 2026, including extending telehealth, rural health payments, possible solutions to prior authorization burden in Medicare Advantage.
The Medical Group Management Association explains some positive federal healthcare policy movement since the start of 2026, including extending telehealth and rural health payments, and possible solutions to the prior authorization burden in Medicare Advantage.   
READ MORE >

FDA merges all adverse event reporting systems into new AEMS platform

Adverse event reports for food, drugs, vaccines, dietary supplements and medical devices will soon be available in one place. The U.S. Food and Drug Administration said the change will simplify reporting for consumers and allow it to react in real-time to FOIA requests.

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U.S. FDA Sign
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FDA merges all adverse event reporting systems into new AEMS platform

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U.S. FDA Sign
Adverse event reports for food, drugs, vaccines, dietary supplements and medical devices will soon be available in one place. The U.S. Food and Drug Administration said the change will simplify reporting for consumers and allow it to react in real-time to FOIA requests.
READ MORE >

Clover Health becomes first healthcare payer to meet CMS interoperability standard

Meeting the requirements to become a CMS Aligned Network means medical records on its core Medicare Advantage patients will be made available in real-time upon request, facilitated through secure data exchange made possible by Kno2.

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Network peer to peer P2P learning web communication interoperability
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Clover Health becomes first healthcare payer to meet CMS interoperability standard

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Network peer to peer P2P learning web communication interoperability
Meeting the requirements to become a CMS Aligned Network means medical records on its core Medicare Advantage patients will be made available in real-time upon request, facilitated through secure data exchange made possible by Kno2.
READ MORE >

HHS tells employees to abandon Claude AI, as Trump feuds with developer Anthropic

The outlet NOTUS was the first to break the news, citing an internal email it obtained written by government officials. Agencies under the Department of Health and Human Services have been told to seek alternatives, mainly ChatGPT or Gemini. The shift could throw a wrench in the FDA’s plans to use Claude for speedy drug approvals. 

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artificial intelligence AI policy washington capitol
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HHS tells employees to abandon Claude AI, as Trump feuds with developer Anthropic

Share on Twitter Share on Facebook Share on Linkedin
artificial intelligence AI policy washington capitol
The outlet NOTUS was the first to break the news, citing an internal email it obtained written by government officials. Agencies under the Department of Health and Human Services have been told to seek alternatives, mainly ChatGPT or Gemini. The shift could throw a wrench in the FDA’s plans to use Claude for speedy drug approvals. 
READ MORE >

CMS defers $260M in Medicaid funds as part of ‘major crackdown on healthcare fraud’

The money was meant for Minnesota, where criminals were indicted for abusing the Medicaid system to run bogus daycare centers. The Centers for Medicare & Medicaid Services did not specify how the state can rectify the situation to the Trump administration’s satisfaction. 

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CMS defers $260M in Medicaid funds as part of ‘major crackdown on healthcare fraud’

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The money was meant for Minnesota, where criminals were indicted for abusing the Medicaid system to run bogus daycare centers. The Centers for Medicare & Medicaid Services did not specify how the state can rectify the situation to the Trump administration’s satisfaction. 
READ MORE >

Ohio health system sued by DOJ over alleged antitrust violations related to payer contracts

The U.S. Department of Justice and the state attorney general's office allege OhioHealth used its position of market dominance to pressure commercial plans into always keeping its hospitals and clinics in-network, even when competitors offer services for a better rate.

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Ohio
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Ohio health system sued by DOJ over alleged antitrust violations related to payer contracts

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Ohio
The U.S. Department of Justice and the state attorney general's office allege OhioHealth used its position of market dominance to pressure commercial plans into always keeping its hospitals and clinics in-network, even when competitors offer services for a better rate.
READ MORE >

FDA approves medical device for pancreatic cancer therapy—the first new treatment in 30 years

Developed by Novocure, the portable Optune Pax system uses tumor treating fields aimed directly at the site of the cancer to disrupt cell reproduction. A Phase 3 clinical trial shows it improves survival by two months on average versus chemotherapy alone.

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CT findings linked with pancreatic cancer
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FDA approves medical device for pancreatic cancer therapy—the first new treatment in 30 years

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CT findings linked with pancreatic cancer
Developed by Novocure, the portable Optune Pax system uses tumor treating fields aimed directly at the site of the cancer to disrupt cell reproduction. A Phase 3 clinical trial shows it improves survival by two months on average versus chemotherapy alone.
READ MORE >

3 accomplished AI innovators worry anew over their mind-of-its-own creation

Recent days have seen some nerve-rattling brain dumps about the near future—including five figurative minutes from now—authored by tech luminaries who specialize in AI innovation. 

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AI robot
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3 accomplished AI innovators worry anew over their mind-of-its-own creation

Share on Twitter Share on Facebook Share on Linkedin
AI robot
Recent days have seen some nerve-rattling brain dumps about the near future—including five figurative minutes from now—authored by tech luminaries who specialize in AI innovation. 
READ MORE >

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